International Oak Society

Membership Enrollment Form

(Print, Complete, and Mail this Form)

Membership is based on the calendar year (1 January - 31 December). Membership enrollments received before October 1 will be activated as of 1 January of the current year and all publications for that year will be forwarded to the new member. Enrollments received after October 1 will be activated on 1 January of the following year, unless the member requests that the membership be activated for the current year.

Name_____________________________________________

Title______________________________________________

Address___________________________________________

City______________________________________________

State/Province______________________________________

Postal Code_________________ Country________________

Telephone Home____________________________________

                   Business__________________________________

FAX______________________________________________

E-mail_____________________________________________

                          Individual                Family (two members at
                                                               the same address)

One Year:       $25.00 _____                       $30.00 _____

Two Years:     $45.00 _____                       $55.00 _____

Three Years:   $65.00 _____                       $80.00 _____

Lifetime:        $400.00 _____                     $600.00 _____

Send check or money order, drawn on a U.S. bank in U.S. dollars, payable to INTERNATIONAL OAK SOCIETY, to

International Oak Society
Treasurer's Office
299 Pond Rd.
Monterey, TN 38574
USA


To pay by MasterCard or Visa, complete the following form and mail it to the above address 

Card Type: _____ Mastercard   _____ Visa
Amount to be charged:

Card number (must include three-digit code at end of card number; look on the back of your card for this code):
Card Expiration date:
Signature of Cardholder:

 

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